A Case of Ceftriaxone-induced Pseudocholelithiasis.
- Author:
Hong Kwon KIM
1
;
Jeong Ho KIM
;
Kyung Mo KIM
;
Chong Hyun YOON
Author Information
1. Department of Pediatrics, College of Medicine, Ulsan University, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Ceftriaxone;
Biliary Pseudolithiasis;
Pseudocholelithiasis;
Gallbladder sludge
- MeSH:
Ceftriaxone;
Child, Preschool;
Cholecystectomy;
Cholecystitis;
Communicable Diseases;
Gallbladder;
Humans;
Lyme Disease;
Male;
Meningitis;
Nausea;
Osteomyelitis;
Pyelonephritis;
Sewage;
Vomiting
- From:Journal of the Korean Pediatric Society
1998;41(6):841-843
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Ceftriaxone, a third-generation cephalosporin, is a very potent, broad spectrum antibiotic commonly used in patients with meningitis, osteomyelitis, pyelonephritis, Lyme disease and many other severe infectious diseases. Up to 46% of those receiving this antibiotic develop gallbladder sludge. Most of them are asymptomatic, but a small proportion may develop right upper quadrant pain, nausea, vomiting and even cholecystitis. We report a case of ceftriaxone-induced pseudocholelithiasis in a 5-year-old boy. We also emphasize the fact that surgical interventions such as cholecystectomy is not necessary, because the condition may resolve spontaneously after cessation of the drug.